How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $467.74 | Professional | None | $371.54 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $691.83 Typical High $691.83 | Facility | None | $389.05 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,318.26 | Professional | None | $691.83 | $724.44 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $3,235.94 | Facility | None | $398.11 | $676.08 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $489.78 | Professional | None | $239.88 | $309.03 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,318.26 | Professional | None | $691.83 | $691.83 | $1,318.26 |
Midlands Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,698.24 | Professional | None | $870.96 | $1,318.26 | $1,698.24 |
United Setting Facility Modifier None Typical Low $281.84 Median $724.44 Typical High $724.44 | Facility | None | $281.84 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $478.63 | Professional | None | $223.87 | $309.03 | $478.63 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $46.77 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 19th of 51
$479
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.